Individual
MR. BENJAMIN-JOHN GONZALES VI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, NCC, LPC, LCADC
Contact information
Practice address
795 WOODLANE RD, SUITE 301, WESTAMPTON, NJ 08060-3832
(609) 267-1377
Mailing address
795 WOODLANE ROAD SUITE 301, MT. HOLLY, NJ 08060-4730
(609) 267-1377
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00134200
NJ
101YP2500X
Professional Counselor
Primary
37PC00330100
NJ
Other
Enumeration date
04/17/2007
Last updated
06/24/2014
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